A Comprehensive Statewide Study of Gambling …...A Comprehensive Statewide Study of Gambling...
Transcript of A Comprehensive Statewide Study of Gambling …...A Comprehensive Statewide Study of Gambling...
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A Comprehensive Statewide Study of Gambling Impacts:
Implications for Public Health
Rachel A. Volberg
2nd Annual Maryland Conference on Problem Gambling
June 13, 2014
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Acknowledgement
We would like to thank the Massachusetts Gaming Commission
for funding this research effort.
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Background
• 2011 Expanded Gaming Act is unique in enshrining the role of research to enhance responsible gambling & minimize problem gambling in MA
• Section 71 of Gaming Act requires MGC to establish an “annual research agenda” to assist in understanding the social and economic effects of casino gambling in MA & in making annual scientifically-based recommendations to the Legislature
• Essential elements of the research agenda: – Understand the social & economic effects of expanded gambling
– Baseline study of problem gambling and existing prevention & treatment programs
– Obtain scientific information relevant to enhancing responsible gambling and minimizing harmful effects
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Statutory Research Activities
Massachusetts Gaming Commission
Massachusetts Legislature
Public Health Trust Fund ($5 million in annual fees from
licensees)
Gaming Policy Advisory Committee
Gaming Revenue Fund (5% goes to PHTF)
Social & Economic Impact Study Individual Studies
Customer Tracking Data Responsible Gambling Framework Self-Exclusion Program Cashless Wagering System
Annual Recommendations to MA Legislature
(Based on empirical evidence)
Annual Research Agenda Baseline Impact Study
MA DPH
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Overarching Features of SEIGMA
• An experienced, multi-disciplinary, scientifically rigorous research team
• Collaborative orientation
• Uses a state of the art analytical framework
• Uses multiple methods
• Comprehensive analysis at multiple geographical levels
• Measures impacts before and after the introduction of new gambling venues
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SEIG
MA
Ove
rvie
w
Executive Team
Data Management Center
Social & Health Impacts Analysis
-General Population Surveys
-Targeted Population Surveys
-Online Panel Surveys
-Secondary Data
Economic & Fiscal Analysis
-Secondary Data
-Gambling Venue Data
-Patron Surveys
-License Plate Surveys
-Focus Groups
-Key Informant Interviews
Problem Gambling Services Evaluation
-Helpline Data Analysis
-Key Informant Interviews
-Focus Groups
-Clinical Data
Project Manager Data Manager
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Study Design
Secon
dary D
ata C
olle
ction
&
An
alysis
Treatm
en
t &
Preve
ntio
n
Po
pu
lation
Su
rveys
Targeted
Surveys
Gam
blin
g Ve
nu
e
& G
ove
rnm
en
t D
ata
Gam
ing
Emp
loye
e Su
rvey
Patro
n &
License
Plate
Survey
Key In
form
ant
Inte
rviews
Focu
s Gro
up
s
Prior to 2012 B
aselin
e
2012
2013
2014 Op
eration
al: C
on
structio
n
2015
2016
2017
Op
eration
al: P
ost-
Op
enin
g 2018
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SOCIAL & HEALTH IMPACTS ANALYSIS
Overview
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Social & Health Indicators
• Problem gambling & related indices
• Crime
• Leisure activities
• Housing
• Education
• Socioeconomic inequality
• Attitudes
• Quality of life
• Health
• Environment
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Primary Data Collection
• General Population Surveys – n=10,000
– Addressed Based Sampling approach
– Multi-mode interviews (WEB- > SAQ -> telephone)
• Targeted Population Surveys – n=1,000 in each set of host & surrounding communities
– Addressed Based Sample
– Multi-mode approach
• Online Panel Survey – n=5,000
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Secondary Data Collection
•Data Sources: • Behavioral Risk Factor Surveillance System (BRFSS)
• American Community Survey (ACS)
• All Payer Claims Database
• Acute Hospital Case Mix
• Other sources as needed
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Progress to Date:
• General Population Survey is out of the field – Data cleaning & analysis in progress
– Topline results expected in September 2014
• Targeted Populations Surveys in the field
• Online Panel is complete – Data analysis in process
• Secondary Data – 10 year trends for most variables
– Experimenting with data sharing
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What will we learn?
• Public Attitudes about gambling
• Current gambling behavior/participation rates—demographics, frequency, expenditures
• Population prevalence of problem gambling
• The substance abuse and mental health comorbidities of PGs in MA
• Determine community-specific impacts of gambling expansion
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How can we apply it?
• Target prevention campaigns Public Attitudes
• Target prevention and intervention Gambling
Participation
• Ensuring enough treatment options exist Prevalence
• Target clinical screening & treatment Comorbidities
• Targeting resources to mitigate impacts Community-Specific
Impacts
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How can we apply it?
Individual
• Crafting effective awareness and prevention messages.
• Strategically placing messages to reach individuals at risk
• Tailoring treatment to individual problem gamblers
Community
• Implementing awareness & prevention campaigns
• Planning/bolstering community resources & supports
• Creating a community of effective treatment providers
Policy
• Ensuring sufficient resources to cover prevention, treatment, and mitigation
• Regulating responsible gaming initiatives at gambling venues
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ECONOMIC & FISCAL IMPACTS ANALYSIS
Overview
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Economic Analysis: Objectives
Measure and determine the NET economic and fiscal impacts of casino facilities at the local, regional, & state level through primary and secondary data collection and estimating methods
• Government finance • Business dynamics • Labor market conditions • Property values
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Economic & Fiscal Indicators
• Government revenue
• Public services
• Regulatory costs
• Business starts & failures
• Business revenue
• Tourism
• Personal income
• Employment
• Housing
• Infrastructure value & costs
• Origin & costs of gambling supplies & servicing
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Two complementary approaches to measure economic & fiscal impacts
• Direct impacts and primary data collected directly from the casino operations such as employees, wages, construction investment, and local expenditures modeled with REMI to isolate economic impacts
• Secondary data sources primarily from public government data sets to track conditions over time (e.g., unemployment rate, household income, and property values) and compare trends before/after and with comparison regions
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Methods Used
• Modeling impacts using REMI
• Matched Control Communities (using the “counterfactual” approach)
– Choosing one or more communities without a casino that are similar to one with a casino
– Comparing these communities with the MA community to approximate what would have happened without the casino
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Progress To Date:
• Secondary Data Analysis:
– Established trends for past 5-10 years
– Refined strategy for selecting matching communities
– Matched community analysis in process
• Primary Data Collection:
– Refining methods and research plans
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What will we learn?
• Whether jobs created are new jobs or cannibalized from other industries
• Determine whether workers are hired within or outside of MA
• Determine whether revenue is a genuine influx or diverted from other sectors of the economy
• The net economic impact of new gambling venues
• Community perception of the impacts of the new gambling venues
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How can we apply it?
Individual
• Ensuring that operators are hiring individuals in host & surrounding communities
Community
• Ensure that operators are fulfilling obligations to host and surrounding communities
Policy
• Community mitigation fund
• Workforce Development oversight
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PROBLEM GAMBLING SERVICES EVALUATION
Overview
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Data Collection
Primary Data Collection
• Analysis of items from General Population Surveys
• Focus Groups with treatment providers
• Key Informant Interviews
Secondary Data Collection
• MCCG Helpline Data Analysis
• Retrospective clinical data analysis
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Progress To Date
• General Population Survey Items:
– Analysis in progress
• Helpline Data Analysis
– Analysis & report writing in process
• General Progress:
– Refining methods for other aspects of evaluation
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What will we learn?
• What prevention and treatment services currently exist in Massachusetts
• Who is using these services
• How adequately these services address & mitigate impacts of problem gambling
• How existing services match up with best practices in problem gambling prevention, intervention & treatment
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How can we apply it?
• Ensure existing services sufficient for # of problem gamblers
• Ensure services are geographically dispersed Existing Services
• Ensure availability and affordability of services
• Evaluate/strengthen effectiveness of services
Adequacy of Services
• Ensure that services match with best practices for greater effectiveness
Use of Best Practices
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How can we apply it?
Individual
• Train individual treatment providers
• Increase # of gamblers seeking treatment
Community
• Plan/bolster resources and supports
• Create a community of expert treatment providers
Policy
• Effectively allocate resources to prevention & treatment
• Regulate responsible gaming initiatives at gambling venues
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DATA MANAGEMENT CENTER
Overview
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Role of the Data Management Center
• Creating Data Management Plan
• Collecting, cleaning, and storing all SEIGMA data
• Creating Data Use Agreements
• Determining what raw data can be shared with whom and sharing it as widely as possible
• Disseminating key findings and results of SEIGMA analysis in unique ways
• Ensuring IRB compliance and ethical integrity
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Dissemination Example: Website
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Dissemination Example: Trends
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Relative
Percent
Change
2002-2012
Unemployment Rate MA 5.3% 5.8% 5.2% 4.8% 4.8% 4.5% 5.3% 8.2% 8.3% 7.3% 6.7% 27.2%
US 5.8% 6.0% 5.5% 5.1% 4.6% 4.6% 5.8% 9.3% 9.6% 8.9% 8.1% 39.7%
Labor Force Participation Rate
MA 68.4% 67.7% 67.0% 66.8% 67.1% 66.8% 66.8% 66.3% 66.1% 65.5% 65.0% -4.9%
US 66.6% 66.2% 66.0% 66.0% 66.2% 66.0% 66.0% 65.4% 64.7% 64.1% 63.7% -4.3%
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Dissemination Example: Maps
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Utility of the Data Management Center
• Other researchers will be able to replicate our analyses
• Other researchers and interested parties will be able to conduct unique analyses
• The general public will be able to look at different measures within their own communities
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For more information, visit:
www.umass.edu/seigma